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1043880271
DALLAS FULTON
ORLANDO, FL
NPI
1043880271
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2021-06-29
Last Update Date
2021-06-29
Business Address
DALLAS FULTON
518 PEACHTREE RD
ORLANDO, FL 32804-6813
Phone number: 407-730-7983
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Mailing Address
DALLAS FULTON
844 CHAMBERLIN TRL
SAINT CLOUD, FL 34772-7750
Phone number: 585-435-1759
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